NPIMap

Individual provider Active NPI

Umbar Ghaffar, M.D.

  • Nephrology Physician
  • Springdale, AR
National Provider Identifier
1194909325
Registry record updated Nov 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
E-8003 Issued in AR
Practice address
813 Founders Park Drive
Suite 203
Springdale, AR 72762-6314
Phone
(479) 463-2440
Fax
(479) 463-2465
NPI assigned
Dec 24, 2007
Last updated
Nov 29, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X E-8003 AR Primary

Addresses

Primary practice location

813 Founders Park Drive
Suite 203
Springdale, AR 72762-6314

Mailing address

PO Box 550
Lowell, AR 72745-0550
Phone (479) 463-7775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130718000383 AR Practitioner - NephrologyPractitioner - Internal Medicine 0042451957 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

813 Founders Park Dr E
203 Renal Specialists of Northwest Arkansas
Springdale, AR 72762-6314
Phone (479) 463-2440

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Jul 1, 2013 Accepting new patients
Washington Regional Medical System CurrentSince Oct 20, 2017 Accepting new patients
Washington Regional Medical System Current Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jul 1, 2013 Accepting new patients
Washington Regional Medical System Nephrology CurrentSince Oct 20, 2017 Accepting new patients
Washington Regional Medical Center Past Accepting new patients
Washington Regional Medical System Past Accepting new patients

Locations

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

813 Founders Park Dr E
Ste 203
Springdale, AR 72762
Phone (479) 463-2440

Interoperability endpoints

  • Direct secure messaging: ughaffar29830@washingtonregional.direct-ci.com
  • Direct secure messaging: umbarghaffar@wrms.allscriptsdirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511913600000",
    "number": "1194909325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727450550",
            "telephone_number": "479-463-7775",
            "fax_number": "479-463-7187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 FOUNDERS PARK DRIVE",
            "address_2": "SUITE 203",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626314",
            "telephone_number": "479-463-2440",
            "fax_number": "479-463-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAFFAR",
        "first_name": "UMBAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-24",
        "last_updated": "2017-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AR",
            "license": "E-8003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.